Farrow, Eydie A

Farrow, Eydie A is an individual health care provider with primary practice located at 113 4Th Avenue , Shell Lake WI 54871. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Farrow, Eydie A can be contacted via phone (715) 468-7833.

Contact Information

Primary practice address
113 4Th Avenue Shell Lake WI 54871
Phone: (715) 468-7833
Fax: (715) 468-7839
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1707-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1707 Wisconsin

Profile Details

NPI number 1487652772
LBN Legal business name Farrow, Eydie A
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jun 3rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487652772 NPPES
Wisconsin MEDICAID 4390900

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